Dung T Cao, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07259 Issued in TX

Practice address

102 W Henderson St
Overton, TX 75684-1613

Phone

(903) 834-0201

NPI assigned

Apr 29, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

• Dung T Hua Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2013.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1992096580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731912",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731912",
            "telephone_number": "903-834-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W HENDERSON ST",
            "city": "OVERTON",
            "state": "TX",
            "postal_code": "756841613",
            "telephone_number": "903-834-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "DUNG",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUNG",
            "last_name": "HUA",
            "middle_name": "T",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latoshia Banks
• Elia Barron, LVN
• Carl Hedges III
• Leo Martin Holm Jr., MD
• Kari Hughes, PTA
• Larry Dewayne Johnson, RPH
• Kari Kennel, MSN,APRN,FNP-C,PMHNP

• All providers in Overton, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.